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Until May 2007, FIFA, football's international governing body, accepted the stadium as a World Cup Qualifying venue, despite protests from visiting teams that the altitude gave the Bolivian national team an unfair advantage against opponents who had only a few days to acclimatise before playing. On May 27, 2007, FIFA declared that no World Cup Qualifying matches could be played in stadiums above 8,200 feet (2,500 m) above sea level.[2] Some, including Bolivian President Evo Morales and Diego Maradona, reacted by claiming the new measure discriminated primarily against high-altitude nations in Latin America, especially those in the Andes.[3] The "Hernando Siles" became a symbol of the Bolivian struggle against FIFA's ban on games at altitude. After a month of campaigning against the ban, FIFA raised the altitude limit from 2500 meters to 3000 meters on June 27, 2007. The next day, FIFA also announced a special exemption for the Estadio Hernando Siles, allowing the stadium to continue holding World Cup qualifying matches.[4]
The ban was revoked in May 2008. During 2006, 2010, 2014 and 2018 World Cup qualifiers together, Bolivia had fourteen home wins and ten home draws, and only two away draws and no away win.

In 2017, Neymar posted photos of Brazil players with oxygen masks before their 2018 World Cup qualifiers game in the stadium and commented that it is "inhumane" to play under those conditions. [5]